PMT16-03365 City of Menifee Permit No.: PMT1 6-03365
29714 HAUN RD.
<A—CCELA—> MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 10/1212016
P E R M I T
Site Address: 30282 SILICATE DR, MENIFEE, CA 92584 Parcel Number: 360-810-050
Construction Cost: $5,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 35'x 13'SOLID ALUMAVVOOD PATIO COVER WITH 2 FANS
Work:
Owner Contractor
GARY&LYN BENANTI NEILWEATHERLY
30282 SILICATE DRIVE P 0 BOX 108B
MENIFEE, CA 92584 NUEVO,CA 92567
Applicant Phone: 95129011117
GARY&LYN BENANTI License Number: B02073
30282 SILICATE DRIVE
MENIFEE,CA 92584
Phone:9517194167
Fee Description Qtv Amount($1
Receptacle, Switch,Outlet&Fixture 2 121.00
Building Permit Issuance 1 27.00
Deck/Patio, non-standard 1 133.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 1.00
Document Reproduction Reimbursement 4 4.25
General Plan Maintenance Fee-Building 1 6.65
General Plan Maintenance Fee-Electrical 1 6.05
$299.95
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builitfing operations being carriled on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AAB1dg_PermitTemplate.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from ficensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires_Signature in which I must have resided for at least one yea r prior to completion of
improvements covered by this permit.I cannot legally sell a stractu re that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon req uest when
com pensafion,issued by the Director of Ind ustrial Relations as provided for this application is submitted or at th ollowing website:
by Section 3700 of the Labor Code,for the performance of work for which fii.ca.9&%/ I,w.ht,I.
this permit is issued.
Policy# ir Date
PROrP -a*
o I have and will maintain worker's compensation insurance,as required by ��OVh9ER OR AUTHOR] AG
section 3700 of the Labor Code,for the performance of the work for which VA my signature below I certify to each of the following:I am the property
this permit is Issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize r presentatives of this city or county to
ritified prope r ins
Policy# Expires enXr the abov eA pection purpose I I
(This section need not to be completed is the permit is for cme�hunclred qmall) A I Dat�0/1211
dollars($100)or less PRWRTV�WER OR AUAOR12il) NT—
o I certify that in the performance of the work for which this permit is issued,
Ishallnotempi any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall f7th co with those Prom ions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
amounts specified an the Hazardous Materfials Information Guide?
Appllcant_� A--4 Date lei(
WARNING:FAI'L*YRE ib SE�/UIRE WORKERS COMPENSATION COVERAIE'IS o es o No
UNLAWFUL,AND SHALLsuBiEcrAN EMPLOYER TO CRIMINAL PENALTIES rin'the intended use of the building bythe applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fii�guidelines
CONSTRUCTION LENDING AGEN Vyes o No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be Within 1000 feet of the
u r boundary of a school?
lending agency for the performance of the work which this permit is issued 101314
(Section 3097 Civil Code) vyes a No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous me en.a[re Ing.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes
Business and Professions Code).Any city or county that requires a permit to AM. f), Date
construct,alter,improve,demolish or repair any structure,prior to its PROkE"REFR AUTHORIZO A&j
issuance,also requires the applicant for the permit to file a signed statement
that he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING JRRP1
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childaire ftclifty to be RRP-certified firms and comply vvith
an Applicanvfor a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
V<�as owner of the property,or my employee with wages as their SCIE employees.For more information about EPA's Renovation Program visit:
compensation,will do I )all of or( )portion of the work,and the structure is www.epa.Rov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contractor's State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsIble for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
c co7b letion,the Owner-Builder will have the burden of proving that it was
o
Vn uilt or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because:
a 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
"."Menifee
DATE PERMIT/PLAN CHECK NUMBEROvm�x -
TYPE: OCOMMERCIAL XRESIDENTIAL OMULTI-FAMILY 0- MOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: )(ADDITION 0ALTERATION CDEMOLITION OEI-EcTRICAL CIVIECHANI(MlyotMenIfe )
ONEW OPLUMBING 0 RE-ROOF-N UMBER OF SQUARES Building& Safety )apt.
DESCRIPTION OF WORK OCT 12 20 6
t 2-
M r1T;wIvbd
PROJECTAIDDRESS 302- 52- Ck
ASSESSOR'S PARCEL NUMBER 3�041,0--L)50 -9 LOT TRACT
OWNER NAME
k-�a-v,4 4
ADDRESS 302 J L rc e-5
-92- t -DI,- fqu,7,4s- CA qj5gq
PHONE glo EMAIL
APPLICANT NAME S Ajv�
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME �jj JI"A',�C/,, OWNER BUILDER? XYES ONO
BUSINESS NAME
ADDRESS F0 6DY, 0 INJULL V 0 C/q V-256-7
PHONE 1,51-gyo- itil ? EMAIL -hL�*(weAJLAL
CONTRACTOR'S STATE LIC NUMBER go-ze"I 3 LICENSE CLASSIFILTION 13
VALLIATION$ 500, — no s q0 L SQ FT
APPLICANT'S SIGNAIURL I - OS - 16,
DATE A
CITY STAFF USE ONLY
DEPAKTMLNT D1bTK1BUTIUN Ll 1Y UF MENIFEL HUNNE�b LIULN5E NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAI
AMOUNT l0qCt-01!�:i OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES I PAID AMOUNT CASH OCHECK# 0 CREDIT CARD ViSA/MC_
OWNER BUILDER VERIFIED 0 YES 0 No DIL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Safety Deportment 29714 Houo Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.Lis Inspection Request Line 951-246-6213
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